CROSS REFERENCE TO RELATED APPLICATIONS
FIELD OF THE INVENTION
[0002] The present invention relates to an apparatus and method for separating particles
or components of a biologic fluid, such as blood. The invention has particular advantages
in connection with separating blood components, such as white blood cells and platelets.
DESCRIPTION OF THE RELATED ART
[0003] In many different fields, liquids carrying particles must be filtered or processed
to obtain either a purified liquid or purified particle end product. In its broadest
sense, a filter is any device capable of removing or separating particles from a substance.
Thus, the term "filter" as used herein is not limited to a porous media material but
includes many different types of devices and processes where particles are either
separated from one another or from liquid.
[0004] In the medical field, it is often necessary to filter blood. Whole blood consists
of various liquid components and particle components. The liquid portion of blood
is largely made up of plasma, and the particle components include red blood cells
(erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes). While
these constituents have similar densities, their average density relationship, in
order of decreasing density, is as follows: red blood cells, white blood cells, platelets,
and plasma. In addition, the particle components are related according to size, in
order of decreasing size, as follows: white blood cells, red blood cells, and platelets.
Most current purification devices rely on density and size differences or surface
chemistry characteristics to separate and/or filter the blood components.
[0005] Typically, donated platelets are separated or harvested from other blood components
using a centrifuge. White cells or other selected components may also be harvested.
The centrifuge rotates a blood separation vessel to separate components within the
vessel or reservoir using centrifugal force. In use, blood enters the separation vessel
while it is rotating at a very rapid speed and centrifugal force stratifies the blood
components, so that particular components may be separately removed. Components are
removed through ports arranged within stratified layers of blood components.
SUMMARY OF THE INVENTION
[0006] The present invention comprises a centrifuge for separating particles suspended in
a fluid, particularly blood and blood components. The apparatus has a blood processing
vessel mounted on a rotor of a centrifuge. In the process of removing blood from a
donor, separating the blood into components, adding anticoagulant or replacement fluids,
and returning blood components to a donor, air bubbles may be inadvertently introduced
into the fluid. Small air bubbles are of little or no consequence, but large air bubbles
in the returned blood components may be painful or harmful to the donor. It is desirable
to monitor the returning blood components for air bubbles that are larger than a predetermined
size. The apparatus of this invention provides a sensor in the outflow race of the
return peristaltic pump. A sensor structure is uniquely mounted in an exit slot of
the return peristaltic pump for detecting air bubbles in the fluid within a return
loop.
[0007] The sensor structure comprises an inner protrusion which faces a similar outer protrusion,
located in the exit slot. When a bag and tubing set is mounted on the blood processing
device, a cassette is mechanically and automatically drawn into place on the device,
which wedges a portion of the return loop between the protrusions. Outer surfaces
of the return loop contact an appropriate sensor in the protrusions. Such a sensor
may be a sonic sensor, a sonic pulse echo sensor, or capacitive plates. A pre-determined
minimum bubble size or sizes or a cumulative volume may be selected, and the device
operator may be warned only of the existence of bubbles that exceed a certain size
or of a cumulative volume of bubbles, or the blood donation procedure may be stopped
if a bubble exceeds a certain critical size or if a pre-determined volume of bubbles
over a certain period or volume of fluid is exceeded.
[0008] It is an object of the invention to provide a centrifuge blood separation apparatus
comprising a pump assembly adapted to interface with a tubing set, the pump assembly
comprising at least one peristaltic pump comprising a housing with a cylindrical inner
cavity with a floor and a U-shaped inner wall, at least one roller arm, an exit slot
adjacent the inner wall where blood conducting tubing can leave the pump, a sensor
structure in the exit slot, the sensor structure comprising an inner protrusion and
an outer protrusion, and means in the sensor structure for detecting air in a tube
of the tubing set when the tubing set is mounted on the centrifuge blood separation
apparatus.
[0009] It is also an aspect of the invention to provide, at the sensor structure, an upper
chamfer adjacent a tapered surface and a vertical surface below the tapered surface.
[0010] Yet another feature of the invention may include means for mechanically and automatically
drawing a blood component tube into contact with the sensor structure.
[0011] In another aspect of the invention, a sonic transmitter may be mounted in one protrusion,
and a receiver may be mounted in the other protrusion.
[0012] The apparatus may further include signal processing circuitry in electrical communication
with the sensor structure, the signal processing circuitry being sealed in a recess
in the housing.
[0013] In a further aspect of the invention, a sonic pulse echo sensor may be mounted in
a floor between the protrusions such that a signal from the pulse sensor passes through
a return loop and reflects at an interface of the return tube with surrounding air
back to the pulse echo sensor.
[0014] Yet another embodiment of a sensor may be capacitive plates mounted in the protrusions
such that a tube of the tubing set together with fluid and any air bubbles contained
therein form a dielectric for a capacitive sensor.
[0015] These and other objects and features of the invention will be apparent from the following
description, together with the accompanying drawings. It is to be understood that
both the foregoing general description and the following detailed description are
exemplary, and are intended to provide further explanation of the invention as claimed.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016]
FIG. 1 is a schematic view of one embodiment of an apheresis system, which can be
used in or with the present invention.
FIG. 2 illustrates a tubing and bag set including an extracorporeal tubing circuit,
a cassette assembly, and collection bag assembly, for use in or with the system of
FIG. 1.
FIG. 3 is a top perspective view of peristaltic pump housing, pursuant to the present
invention.
FIG. 4 is a bottom perspective view of the pump housing of Fig. 3.
FIG. 5 is a front plan view of the pump housing of Fig. 3.
FIG. 6 is a top plan view of the pump housing of Fig. 3.
FIG. 7 is a block diagram of signal processing circuitry.
DETAILED DESCRIPTION
[0017] To describe the present invention, reference will now be made to the accompanying
drawings. The present invention may be used with a centrifugal blood processing apparatus
such as a SPECTRA OPTIA
® blood component centrifuge (see
US Patent 7,422,693) manufactured by CaridianBCT, Inc or TRIMA
® or TRIMA ACCEL
® centrifuges. The invention may also be used with other blood component centrifuges.
The Spectra Optia, Trima or Trima Accel centrifuges incorporate a one-omega/two-omega
seal-less tubing connection as disclosed in
U.S. Patent No. 4,425,112 to Ito, as know in the art, to provide a continuous flow of blood to and from the
rotor of an operating centrifuge without requiring a rotating seal.
[0018] A preferred blood apheresis system 2 for use with the present invention is schematically
illustrated in FIG. 1. System 2 provides for a continuous blood component separation
process. Generally, whole blood is withdrawn from a donor and is substantially continuously
provided to a blood component separation device 6 where the blood is separated into
various components and at least one of these blood components is collected from the
device 6. One or more of the separated blood components may be either collected for
subsequent use or returned to the donor. In the blood apheresis system 2, blood is
withdrawn from the donor and directed through a bag and tubing set 8, which includes
an extracorporeal tubing circuit 10, and a blood processing vessel 12, which together
define a closed, sterile and disposable system. The set 8 is adapted to be mounted
in the blood component separation device 6. The separation device 6 includes a pump/valve/sensor
assembly 14, which interfaces with the extracorporeal tubing circuit 10, and a centrifuge
assembly 16, which interfaces with the blood processing vessel 12.
[0019] The centrifuge assembly 16 may include a channel 18 in a rotatable rotor assembly
20, which provides the centrifugal forces required to separate blood into its various
blood component types by centrifugation. The blood processing vessel 12 may then be
fitted within the channel 18. Blood can flow substantially continuously from the donor,
through the extracorporeal tubing circuit 10, and into the rotating blood processing
vessel 12. Within the blood processing vessel 12, blood may be separated into various
blood component types and at least one of these blood component types (e.g., white
blood cells, platelets, plasma, or red blood cells) may be removed from the blood
processing vessel 12. Blood components that are not being retained for collection
or for therapeutic treatment (e.g., platelets and/or plasma) are also removed from
the blood processing vessel 12 and returned to the donor via the extracorporeal tubing
circuit 10. Various alternative apheresis systems (not shown) may also make use of
the present invention, including batch processing systems (non-continuous inflow of
whole blood and/or non-continuous outflow of separated blood components) or smaller
scale batch or continuous RBC/plasma separation systems, whether or not blood components
may be returned to the donor.
[0020] Operation of the blood component separation device 6 is controlled by one or more
processors included therein, and may advantageously comprise a plurality of embedded
computer processors to accommodate interface with ever-increasing PC user facilities
(e.g., CD ROM, modem, audio, networking and other capabilities). In order to assist
the operator of the apheresis system 2 with various aspects of its operation, the
blood component separation device 6 includes a graphical interface 22 with an interactive
touch screen.
[0021] An extracorporeal tubing circuit 10, shown in FIG. 2, may include a cassette 26 and
a number of tubing/collection assemblies 28, 30, 32, 34, 36, 38 and 40. A blood removal
tubing assembly 28 provides a needle interface for withdrawing blood from a donor
to the remainder of the tubing circuit 10. A blood return tubing assembly 30 provides
a needle interface for returning blood components and other fluids to the donor. A
single needle interface may also be used. Three lines 41, 42, 44 are provided in blood
removal tubing assembly 28 for removal of blood from the donor. A cassette 26 is connected
between the tubing assembly 28, which connects to the donor, and blood inlet/blood
component tubing line sub-assembly 32, which provides the interface between cassette
26 and blood processing vessel 12. The cassette 26 orients tubing segments in predetermined
spaced relationships within the cassette 26 for ultimate engagement with valve members
on apheresis device 6. Such valves will, when activated, control flow through loops
and tubing.
[0022] Four lines 68, 70, 94 and 112 are shown in FIG. 2 for transport of blood and components
to and from the processing vessel 12. An anticoagulant tubing assembly 40, a vent
bag 34, a plasma collection assembly 36, and a white blood cell collection bag 38
are also interconnected with cassette 26. The extracorporeal tubing circuit 10 and
blood processing vessel 12 are pre-connected to form a closed, sterilized, disposable
assembly for a single use.
[0023] When the tubing circuit 10 has been mounted on the blood component separation device
6, saline solution primes the tubing circuit through a saline line 54 and filter 56
(see FIG. 2). Saline flows through an internal passageway in the cassette 26 and through
the line 41 to the distal end of the blood removal assembly 28. Saline can then flow
up a blood withdrawal line 42 into the other tubes and passageways of the circuit
10 and up an anticoagulant line 44 in preparation for blood processing. A supply or
bag (not shown) of anticoagulant connects to a distal end of the anticoagulant tubing
assembly 40. Anticoagulant solution flows past a filter 60 and a first pump loop 62
through the anticoagulant line 44 to the distal end of the blood removal assembly.
The pump loop 62 and other pump loops 64,104,118, and 78 described herein couple with
peristaltic pumps 132,134,136, 138 and 140 on the blood processing device 6 in a known
manner and which are shown in Fig. 2 with roller arms for forcing fluid through an
adjacent tube. The housing of peristaltic pump 140 has unique features, described
below, that permit it to connect a sensor to the pump loop 78 for detecting air bubbles
in the tubing circuit 10 before blood or other fluids are returned to the donor. The
device 6 controls the direction and rate of flow of the fluids described herein by
controlling the speed and direction of the peristaltic pumps and the position of various
valves.
[0024] The blood removal line 42 conducts blood into the cassette 26, where the blood passes
a first pressure sensor 63 and a second pump loop 64. A second pressure sensor 66,
between second pump loop 64 with its associated pump 134 and blood inflow line 68
to the blood processing vessel 12, senses the fluid pressure effective at an inlet
to the blood processing vessel 12. Emanating from blood processing vessel 12 is an
RBC outlet tubing line 70 of the blood inlet/blood component tubing assembly 32. The
outlet tubing line 70 connects to an external loop 74 to a return reservoir 76. The
return reservoir 76 contacts sensors on the device 6 that detect low and high fluid
levels. The device 6 keeps the fluid in the reservoir between these two levels by
controlling flow out of the reservoir past a return pump loop 78, which is coupled
to the return pump 140, and a return pressure sensor 80. As the fluid level in the
reservoir 76 is constantly rising and falling, a vent bag 34 connects to the reservoir
76 through a vent tube 92. Air can flow between the reservoir 76 and the vent bag
34 in a sterile manner. Fluid flows into a return tube 84 in the blood return assembly
30. The return assembly 30 also comprises a saline line 86 connected internally in
the cassette 26 to saline line 54 for priming as described above. If desired, red
blood cells could be withdrawn through the replacement line 90 and collected in a
collection bag (not shown).
[0025] Plasma may also be collected from the blood processing vessel 12 into plasma bag
36. When desired, plasma is withdrawn from the blood processing vessel 12 through
plasma line 94 to a pump loop 104, which is coupled to a pump 136. A valve (not shown)
diverts the plasma either into a collect tube 108 to the plasma bag 36, or into a
connecting loop 110 to the reservoir 76. Excess plasma in the reservoir 76 is returned
to the donor in the same way as red blood cells, as described above.
[0026] White blood cells flow out of the blood processing vessel 12 through a fourth cell
line 112 in the tubing line sub-assembly 32. In the cassette 26, a red-green photo
sensor (not shown) may be used to control periodic flushing of white blood cells out
of the blood processing vessel 12 into the collect bag 38. The white blood cells flow
through a pump loop 118, which engages a peristaltic pump 138 on the separation device
6. The pump loop 118 connects to a valved passageway in the cassette 26. The blood
processing device 6 can control a valve to direct white blood cells either into a
collect tube 122 and thence into the collect bag 38, or into a connection loop 124
and thence into the reservoir 76. Excess white blood cells in the reservoir 76 may
be returned to the donor in the same way as red blood cells and plasma, as described
above.
[0027] During a blood removal, whole blood will be passed from a donor into tubing line
42 of blood removal tubing assembly 28. The blood is pumped by the device 6 via pump
loop 64, to the blood processing vessel 12 via the cassette 26 and line 68 of the
blood inlet/blood component tubing assembly 32. Separation processing then occurs
on a substantially continuous basis in the blood processing vessel 12, i.e., blood
flows substantially continuously therein, is continuously separated and flows as separated
components therefrom. After separation processing in vessel 12 (though separation
is continuously occurring), uncollected blood components are transferred from the
processing vessel 12 to and through cassette 26, into reservoir 76 of cassette 26
up to a predetermined level. The blood component separation device 6 may initiate
a blood return submode wherein components may be returned to the donor through return
line 84. The cycle between blood removal and blood return submodes will continue until
a predetermined amount of blood components have been harvested. In an alternative
single needle scheme, as is known in the art, blood may be alternately removed from
the donor and returned to a donor through a single needle.
[0028] In the process of removing blood from a donor, separating the blood into components,
adding anticoagulant or replacement fluids, and returning blood components to a donor,
air bubbles may be inadvertently introduced into the fluid. Small air bubbles are
of little or no consequence, but large air bubbles in the returned blood components
may be painful or harmful to the donor. It is desirable to monitor the returning blood
components for air bubbles that are larger than a predetermined size. The apparatus
of this invention provides a sensor in the outflow race of the return peristaltic
pump 140. The structure of the housing allows the return loop 78 to be brought reliably
into contact with the sensor automatically as the cassette 26 is mounted on the blood
component separation device 6.
[0029] The peristaltic pump 140 comprises a housing 142. The housing 142 comprises a cylindrical
inner cavity 144 with a floor 146. The floor 146 has two countersunk bores 148, 150
for machine screws (not shown) to mount the housing on the separation device 6. A
central opening 152 allows a shaft to drive roller arms (shown in Fig. 2) of the peristaltic
pump in a known fashion. See, for instance,
US patent 5,263,831, incorporated herein by this reference. The housing 142 has a planar outer wall 154
which is configured to abut the cassette 26. A U-shaped outer wall 156 completes the
outer shape of the housing. The cavity 144 has a U-shaped inner wall 158 against which
the return loop 78 rests when the loop 78 is mounted within the peristaltic pump 140.
A ridge 160 may be provided along an upper edge 162 of the inner wall 158 to secure
the return loop 78 within the housing when the pump is compressing loop by action
of the roller arms. The planar outer wall 154 comprises a central section 164 having
an arcuate surface 166 that is congruent with the inner radius of the return loop
78. The arcuate surface 166 helps the roller arms to act with uniform force on the
return loop 78 as the arms rotate within the housing.
[0030] An entrance slot 168 in the planar outer wall 154 allows the return loop 78 to enter
the inner cavity 144 of the housing 142, where the loop 78 lies along the U-shaped
inner wall 158. The loop 78 leaves the housing through an exit slot 170 in the planar
wall 154. A sensor structure 172 is uniquely mounted in the exit slot 170 for detecting
air bubbles in the fluid within the return loop 78.
[0031] The sensor structure 172 comprises an inner protrusion 174 from the central section
164. The inner protrusion faces a similar outer protrusion 176 on the inner wall 158.
Both protrusions 174, 176 are located in the exit slot 170. The inner protrusion 174
has an upper chamfer 178 adjacent a tapered surface 180. Below the tapered surface
180 is a vertical surface 182. Facing the upper chamfer 178, tapered surface 180 and
vertical surface 182 of the inner protrusion 174, the outer protrusion 176 also has
an upper chamfer 184, a tapered surface 186, and a vertical surface 188. When the
bag and tubing set 8 is mounted on the blood processing device 6, the cassette 26
is mechanically and automatically drawn into place on the device 6, as known in the
art. In particular, the return loop 78 is drawn into the peristaltic pump 140. Usually
such a loop only contacts the U-shaped inner wall 158 and the roller arms of the peristaltic
pump. This presents very little frictional resistance to mounting the tubing set 8.
In this invention, however, the return loop 78 is also brought into close contact
with the inner and outer protrusions 174, 176 of the sensor structure 172. Because
the return loop 78 is attached to the rigid cassette 26, the act of mounting the cassette
26 on the device 6 also wedges a portion of the return loop 78 between the protrusions
174, 176. The portion of the return loop 78 between the protrusions 174, 176 will
be deformed vertically into a generally elliptical shape, with outer surfaces in contact
with an appropriate sensor in the protrusions. This structure allows the blood component
tube to be mechanically and automatically drawn into contact with the sensor. Such
a sensor may be a sonic sensor such as are available from Moog Medical Devices Group
(formerly known as Zevex Applied Technology), Salt Lake City, Utah, for example. A
sonic transmitter may be mounted in one protrusion, for example the outer protrusion
176, and a receiver may be mounted in the other protrusion, for example the inner
protrusion 174. Signal processing circuitry for the sensor may be sealed in a recess
190 in the housing 142, and a cable 192 and connector 194 may be provided for coupling
the sensor to control circuitry, such a microprocessor, in the device 6.
[0032] Figure 7 shows a block diagram of signal processing circuitry 200 for the sensor.
The circuitry 200 comprises a transmitter 202 that drives an emitting crystal 204
and a receiver 208 that responds to a receiving crystal 206. The emitting crystal
204 produces a sonic output that is propagated through an adjacent tube and fluid
to the receiving crystal, which transforms the mechanical sonic waves into an electrical
signal. The propagation of the sonic waves is impeded by air bubbles in the tube,
allowing the bubbles to be detected. The transmitter 202 is operational when power
is supplied to it, usually whenever the apheresis system 2 is active. However, the
transmitter may also be configured to interrupt its output for test purposes in response
to a signal from a controller or microprocessor (not shown). Such an interruption
of the transmitter signal would produce an output from the receiver 208 equivalent
to sensing an air bubble in the adjacent tube. A sweep modulation oscillator 210 produces
a sweep signal that varies the frequency of a wave produced by a main oscillator 212.
This spreads the energy of the main oscillator signal over a certain frequency range,
thereby avoiding interference with other devices, as regulatory authorities such as
the FCC. The signal is delivered by a crystal driver 214 to the emitting crystal 204
at a proper amplitude to cause the crystal to emit a sonic signal.
[0033] The sonic signal passes through an adjacent tube and fluid to the receiving crystal
206. If there are bubbles present in the tube, the signal will be weakened or lost
and will not produce a response in the receiving crystal 206 to be detected by the
receiver 208. The output of the receiving crystal 206 is delivered to an amplifier
216 before being processed by a threshold comparator circuit 218. The analog output
of crystal 206 is first amplified by the differential amplifier 216 to improve sensitivity
to the fluid-coupled signal and to improve the signal-to-noise ratio. Then the signal
is compared to a selected threshold voltage in the threshold comparator 218, which
converts the signal to a pulse train output of equivalent frequency. Only if the amplified
output of the crystal 206 exceeds the threshold is a pulse train signal sent to a
missing pulse detector/timer circuit 220. If there is fluid in the tube, a pulse train
signal will be presented to the pulse detector circuit 220, which will continue to
re-set itself and produce a null output as long as the pulse train signal is present.
If bubbles appear in the tube and cause the pulse train signal to the pulse detector
circuit 220 to be interrupted for a selected period of time, the pulse detector circuit
220 produces an output pulse. The output pulse is communicated to a pulse capture
comparator 224 which standardizes the output of the pulse detector circuit 220 to
a preselected trigger signal. A pulse output logic and timing circuit 226 responds
to the standardized output or trigger signal of the pulse capture comparator 224 by
producing a consistent minimum duration logic pulse of selected duration that can
be recognized by the microprocessor or controller as an indication that a significant
bubble has been detected. The pulse output logic circuit 226 may be configured produce
a consistent minimum time logic pulse of a selected duration, even if bubble size,
number or velocity in fluid flow are of shorter duration than the desired pulse width
output. The signal processing circuitry, therefore, always produces a digital output
signal of preselected minimum duration to the controller even if a small or fast-moving
volume of air has been detected in the adjacent tube.
[0034] As an alternative to the sonic transmitter and receiver, a sonic pulse echo sensor
could also be employed. Such a sensor may be mounted in the floor 146 such that the
signal from the sensor would pass through the return loop 78 and any fluid contained
therein and would be reflected at the interface of the return tube with surrounding
air back to the pulse echo sensor.
[0035] Other sensors may also be used in the apparatus. For instance, capacitive plates
may be mounted in the protrusions such that the return tube 78 together with the fluid
and any air bubbles contained therein form a dielectric for a capacitive sensor. Changes
in the proportions of fluid and air in the area between the plates would change the
capacitive characteristics of the structure, and the presence of bubbles can be detected
from such changes. The plates may have an area of about 1/4 square inch (36 mm
2), separated by a gap of about 1/4 inch (6 mm) containing the fluid-filled return
loop 78. An inductance-capacitance (LC) circuit resonant at about 6 MHz experiences
sufficient changes in resonant frequency due to the changing dielectric to make the
presence of air bubbles reliably detectable.
[0036] It has been found that a sonic sensor, as described above, can detect a wide range
of sizes of air bubbles, many of which are so small that they pose no threat to either
the health or comfort of the donor. It is important, therefore to select a pre-determined
minimum bubble size or sizes or a cumulative volume, and to warn the device operator
only of the existence of bubbles that exceed a certain size or of a cumulative volume
of bubbles, or to stop the blood donation procedure if a bubble exceeds a certain
critical size or if a pre-determined volume of bubbles over a certain period or volume
of fluid. Other actions responsive to a detected condition might be initiating manual
or automatic recovery procedures, such as reversing the peristaltic pump to return
fluid and gas to the reservoir 78. To detect an error condition, the apparatus may
use computer control to add together the volumes of a plurality of bubbles. A running
total (first in, first out) of the sum of bubble volumes over either a period of time
or a selected volume of fluid could be used to detect an alarm condition. An internal
clock in the on-board computer could provide time measurement. Fluid volume could
also be calculated by the computer as a function of a number of revolutions of the
peristaltic pump.
[0037] Currently, it is considered desirable for the system to detect 0.060 mL bubbles at
a flow rate of 295 mL/min. This would correlate to 1 cm of air in a 2.8 mm ID tube.
This specification is very tight and while it does address the perception of "too
much air" in the return line, it does not reflect the actual safety limits on air
in the return line. A specification of less than 1 mL of air detected at the same
flow rate is more appropriate. Since the peristaltic pump will tend to cut up a bubble
into smaller segments, the apparatus will need to add up air over some time period
and alarm if the additive air reaches 1 mL over a selected period of time.
[0038] Air bubble detection sensors could also be placed at other locations within the return
pump 140 or in the cassette 26 downstream from the return reservoir.
[0039] It is desirable to avoid false alarms, that is, false positive indications of air
bubbles. Acceptable performance may be defined in terms of number of allowed false
alarms per 1000 runs or some other probability of occurrence.
[0040] On detection of a bubble of sufficient size, duration or cumulative volume, the operator
should have the ability to clear an alarm, if appropriate. In some instances, air
in the return line may be caused from clotting off the lower level sensor in the return
reservoir 76, whereupon air would be drawn into the system. This is usually considered
to be a non-recoverable condition. Other causes for air detections (possibly false
detections) may be recoverable. The operator can decide when clearing the bubble is
non-productive and choose to end the run at that time. There will be limits, however,
on the number of time the operator can clear the air, based on physical constraints
of the system. Constraints include vent bag 34 volume, or the reservoir 76 upper level
sensor (volume in reservoir), among other possible limits.
[0041] There should not be a complete override of the air detector. Otherwise, the operator
may wrongly assume that since the system is allowing the procedure to continue, it
is safe to do so without checking the conditions that raised the alarm. The purpose
of the return line bubble detector is to serve as a redundant sensor to the pre-existing
monitoring of the lower level sensor.
[0042] Its major purpose is to eliminate most of the sources of error that could raise a
LLS alarm and confirm that air is the cause of the alarm.
[0043] The following procedure could be used to respond to a bubble detection alarm. An
alarm is raised for air detected in return line 78. The operator is instructed to
clamp the return needle. Software checks for clamp closure (pressure check). The operator
is instructed to open return saline roller clamp. The return pump 140 pumps a fixed
quantity of saline through return line to clear bubble. The pump stops when or shortly
after the bubble detector again sees fluid. If the bubble detector does not detect
fluid during recovery, or if the upper level sensor in the return reservoir 76 is
reached, or if the return pump has pumped more than 350 mL cumulative over all air
recovery operations (that is, the vent bag volume), then air recovery stops and the
run ends without rinseback. All air detection events will require recovery until vent
bag volume is reached or upper level sensor in the reservoir 76 detects fluid.
[0044] If ending the run without rinseback becomes the only option, the operator is instructed
to close a saline line roller clamp. Software checks for closure of roller clamp (pressure
check). The operator is instructed to open return line clamp. The operator confirms
and restarts the procedure.
[0045] This description is not to be construed as a limitation on the scope of the invention.
It will be apparent to those skilled in the art that various modifications and variations
can be made to the structure and methodology of the present invention without departing
from the scope or spirit of the invention.
[0046] The claims of the parent application are reproduced below. These clauses define preferable
combinations of features. The applicant reserves the right to pursue protection for
these combinations of features, and/or any other subject-matter contained in the parent
application as filed, either in the present divisional application or in a further
application divided from the present divisional application. The claims of the parent
application are not the claims of the current application which are contained in a
separate section headed "claims".
- 1. A centrifuge blood separation apparatus comprising
a rotor assembly,
a pump assembly adapted to interface with tubing set, said pump assembly comprising
at least one peristaltic pump comprising
a housing with a cylindrical inner cavity with a floor and a U-shaped inner wall,
at least one roller arm,
an exit slot adjacent the inner wall where blood conducting tubing can leave the pump,
a sensor structure in the exit slot, said sensor structure comprising an inner protrusion
and an outer protrusion, and
means in said sensor structure for detecting air in a tube of said tubing set when
said tubing set is mounted on said centrifuge blood separation apparatus.
- 2. The centrifuge blood separation apparatus of Claim 1 wherein said sensor structure
further comprises
at least one upper chamfer adjacent a tapered surface and a vertical surface below
the tapered surface.
- 3. The centrifuge blood separation apparatus of Claim 1 wherein said peristaltic pump
further comprises means for mechanically and automatically drawing a blood component
tube into contact with said sensor structure.
- 4. The centrifuge blood separation apparatus of Claim 1 further comprising a sonic
transmitter mounted in one protrusion, and a receiver mounted in the other protrusion.
- 5. The centrifuge blood separation apparatus of Claim 1 further comprising signal
processing circuitry in electrical communication with the sensor structure, said signal
processing circuitry being sealed in a recess in the housing.
- 6. The centrifuge blood separation apparatus of Claim 1 further comprising a sonic
pulse echo sensor.
- 7. The centrifuge blood separation apparatus of Claim 6 wherein said sonic pulse echo
sensor is mounted in a floor between said protrusions such that a signal from the
pulse sensor passes through a return loop and reflects at an interface of the return
tube with surrounding air back to the pulse echo sensor.
- 8. The centrifuge blood separation apparatus of Claim 1 further comprising capacitive
plates mounted in the protrusions such that a tube of said tubing set together with
fluid and any air bubbles contained therein form a dielectric for a capacitive sensor.
- 9. A peristaltic pump comprising
a housing with a cylindrical inner cavity with a floor and a U-shaped inner wall,
at least one roller arm,
an exit slot adjacent said inner wall where blood conducting tubing can leave the
pump,
sensor structure in said exit slot comprising an inner protrusion and an outer protrusion,
and
means in said sensor structure for detecting air in an adjacent tube.
- 10. The peristaltic pump of Claim 9 wherein said sensor structure further comprises
at least one upper chamfer adjacent a tapered surface and a vertical surface below
the tapered surface.
- 11. The peristaltic pump of Claim 9 further comprising means for mechanically and
automatically drawing a blood component tube into contact with said sensor structure.
- 12. The peristaltic pump of Claim 9 further comprising a sonic transmitter mounted
in one protrusion, and a receiver mounted in the other protrusion.
- 13. The peristaltic pump of Claim 9 further comprising signal processing circuitry
in electrical communication with the sensor structure, said signal processing circuitry
being sealed in a recess in the housing.
- 14. The peristaltic pump of Claim 9 further comprising a sonic pulse echo sensor.
- 15. The peristaltic pump of Claim 14 wherein said sonic pulse echo sensor is mounted
in a floor between said protrusions such that a signal from the pulse sensor passes
through a return loop and reflects at an interface of the return tube with surrounding
air back to the pulse echo sensor.
- 16. The peristaltic pump of Claim 9 further comprising capacitive plates mounted in
the protrusions such that a return tube together with fluid and any air bubbles contained
therein form a dielectric for a capacitive sensor.
- 17. A method of detecting air bubbles in a tube of a tubing set on centrifuge blood
separation apparatus comprising a rotor assembly, a pump assembly adapted to interface
with said tubing set, said method comprising
providing a sensor structure in an exit slot of at least one peristaltic pump,
placing the tube of said tubing set in said peristaltic pump adjacent said sensor
structure, and
detecting air in said tube of said tubing set with said sensor structure.
- 18. The method of claim 17 further comprising mechanically and automatically drawing
a blood component tube into contact with a blood-component containing tube.
- 19. The method of Claim 17 further comprising mounting a sonic transmitter in one
protrusion of said sensor structure, and mounting a receiver in another protrusion.
- 20. The method of Claim 17 further comprising mounting a sonic pulse echo sensor in
said sensor structure.
- 21. The method of Claim 20 wherein said sonic pulse echo sensor is mounted in a floor
between protrusions of said sensor structure such that a signal from the pulse echo
sensor passes through a return loop and reflects at an interface of the return tube
with surrounding air back to the pulse echo sensor.
- 22. The method of Claim 17 further comprising mounting capacitive plates in said sensor
structure such that a tube of said tubing set together with fluid and any air bubbles
contained therein form a dielectric for a capacitive sensor.
1. A peristaltic pump (140) comprising:
a housing (142) with a cylindrical inner cavity (144) with a floor (146) and a U-shaped
inner wall (158),
at least one roller arm,
an exit slot (170) adjacent said inner wall where blood conducting tubing can leave
the pump,
sensor structure (172) in said exit slot, said sensor structure (172) comprising an
inner protrusion (174) and an outer protrusion (176), and
means in said sensor structure for detecting air in an adjacent tube,
characterised by:
wherein said means for detecting air comprises a sonic pulse echo sensor,
wherein said sonic pulse echo sensor is mounted in a floor (146) between said protrusions
such that a signal from the pulse sensor passes through a return loop and reflects
at an interface of the return tube with surrounding air back to the pulse echo sensor.
2. The peristaltic pump of claim 1, wherein said sensor structure further comprises at
least one upper chamfer (178) adjacent a tapered surface (180) and a vertical surface
(182) below the tapered surface.
3. The peristaltic pump of claim 1, further comprising means (14) for mechanically and
automatically drawing a blood component tube into contact with said sensor structure.
4. The peristaltic pump of claim 1, further comprising signal processing circuitry (200)
in electrical communication with the sensor structure, said signal processing circuitry
being sealed in a recess (190) in the housing.
5. A centrifuge blood separation apparatus (2) comprising:
a rotor assembly (20),
a pump assembly adapted to interface with a tubing set, said pump assembly comprising:
at least one peristaltic pump (140) according to any one of the preceding claims;
wherein said means in said sensor structure for detecting air in an adjacent tube
is for detecting air in a tube of said tubing set mounted on said centrifuge blood
separation apparatus (2).
6. A method of detecting air bubbles in a tube of a tubing set (10) on centrifuge blood
separation apparatus (2) comprising a rotor assembly (20) and a pump assembly adapted
to interface with said tubing set, said method comprising:
providing a sensor structure (172) in an exit slot of at least one peristaltic pump,
placing the tube of said tubing set in said peristaltic pump adjacent said sensor
structure,
and
detecting air in said tube of said tubing set with said sensor structure,
characterised by:
said sensor structure comprising a sonic pulse echo sensor, wherein said sonic pulse
echo sensor is mounted in a floor between protrusions of said sensor structure such
that a signal from the pulse echo sensor passes through a return loop and reflects
at an interface of the return tube with surrounding air back to the pulse echo sensor.
7. The method of claim 6, wherein said sensor structure further comprises:
at least one upper chamfer (178) adjacent a tapered surface (180) and a vertical surface
(182) below the tapered surface.
8. The method of claim 6, further comprising mechanically and automatically drawing a
blood component tube into contact with a blood-component containing tube.
9. The method of claim 6, further comprising mounting signal processing circuitry in
electrical communication with the sensor structure, said signal processing circuitry
being sealed in a recess in the housing.